Integrity Hc of Carbondale
120 North Tower Road · Carbondale, IL · 62901 · 6185493355
131 certified beds For profit - Limited Liability company Chain: Integrity Healthcare Communities
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (2 citations).
- Inspection record is far worse than the national median (deficiency count and severity).
- Staffing levels are well below research benchmarks for safe care.
Red flags
Special Focus Facility candidate
CMS lists this facility as a candidate for its Special Focus program for persistently poor inspection performance.
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 immediate-jeopardy citations in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
5 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$403,772 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 1 of 5 Staffing: 1 of 5 Quality measures: 4 of 5
| Total nurse hours / resident-day | — | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | — | 0.55–0.75 |
| Weekend hours / resident-day | — | ≈ weekday level |
| Nursing turnover / year | — | median 45% |
| Fines (3-yr window) | 3 · $403,772 |
Inspection citations (52 in the current record)
-
Actual harm · H October 9, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected October 10, 2025 · Resident Rights
-
Actual harm · G October 9, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 1, 2025 · Quality of Life and Care
-
Potential for harm · D October 9, 2025 · found via complaint
Reasonably accommodate the needs and preferences of each resident.
Corrected October 10, 2025 · Resident Rights
-
Potential for harm · E October 9, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected October 10, 2025 · Resident Rights
-
Actual harm · G September 10, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 26, 2025 · Quality of Life and Care
-
Actual harm · G September 10, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected August 26, 2025 · Quality of Life and Care
-
Potential for harm · E September 10, 2025 · found via complaint
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected September 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D September 10, 2025 · found via complaint
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Corrected September 17, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D August 27, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 24, 2025 · Quality of Life and Care
-
Potential for harm · F August 27, 2025 · found via complaint
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected September 3, 2025 · Nursing and Physician Services
-
Potential for harm · E August 27, 2025 · found via complaint
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected September 24, 2025 · Nutrition and Dietary
-
Potential for harm · E August 27, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 2, 2025 · Nutrition and Dietary
-
Potential for harm · F August 27, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 3, 2025 · Nutrition and Dietary
-
Actual harm · G July 23, 2025 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected September 24, 2025 · Quality of Life and Care
-
Potential for harm · E July 23, 2025 · found via complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected August 6, 2025 · Resident Rights
-
Potential for harm · F July 23, 2025 · found via complaint
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Corrected August 5, 2025 · Nutrition and Dietary
-
Potential for harm · E July 23, 2025 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected September 2, 2025 · Nutrition and Dietary
-
Potential for harm · F July 23, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 3, 2025 · Nutrition and Dietary
-
Immediate jeopardy · J February 10, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 27, 2025 · Quality of Life and Care
-
Immediate jeopardy · J February 10, 2025 · found via complaint
Ensure that residents are free from significant medication errors.
Corrected March 4, 2025 · Pharmacy Service
-
Potential for harm · D February 10, 2025
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected March 4, 2025 · Resident Rights
-
Potential for harm · D February 10, 2025
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 4, 2025 · Resident Rights
-
Potential for harm · D February 10, 2025
Keep residents' personal and medical records private and confidential.
Corrected March 4, 2025 · Resident Rights
-
Potential for harm · D February 10, 2025
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D February 10, 2025
Respond appropriately to all alleged violations.
Corrected March 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| October 9, 2025 | Fine | $101,500 |
| July 23, 2025 | Fine | $99,119 |
| July 23, 2025 | Payment Denial | 40 days |
| December 19, 2024 | Fine | $203,153 |
| December 19, 2024 | Payment Denial | 64 days |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145757 · certified since September 1, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.